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Organization
MERLITA C. CRUZAT-BLANCO, M.D. , L.L.C.
Active
Organization
MERLITA C. CRUZAT-BLANCO, M.D. , L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERLITA C. CRUZAT-BLANCO M.D. (PRESIDENT)
(773) 975-9957
Entity
Organization
Contact information
Practice address
2800 N SHERIDAN RD STE 205N, CHICAGO, IL 60657-6161
(773) 975-9957
(773) 975-3930
Mailing address
2800 N SHERIDAN RD, SUITE 205N, CHICAGO, IL 60657-6156
(773) 975-9957
(773) 975-3930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/23/2008
Last updated
02/24/2009
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